Personal Introductory Questionnaire

(c) Steve Banhegyi, 2000 (You can also download this
questionnaire here).
You can use the questionnaire in one of two ways: Fill it out yourself
and do a little thinking or fill it out and email
it back to me. I'll have a look and maybe give you some ideas and
pointers.

Name

Date of Birth

Place of Birth

Parents

Mothers Name

Mothers DOB

Fathers Name

Fathers DOB

What was your mother like as a person?

What was your father like as a person

Describe your parents' relationship - how did they
relate to each other

Objectively, whose behavioural traits do you have
most of - your Mother's or Father's?

DId your parents get divorced?

Describe your relationship with your mother at the
moment.

Describe your relationship with your father at the
moment.

Mentors

Describe any important people in your formative
years. Note that the experiences with these people don't
necessarilly have to have been positive.

Environment

Did you move home as a child? How often?

Give Details
of moves and your age at the time

How did you feel about moving ?

Education - Primary & High School

How old were you when you first attended Creche or Nursery School?

Do you remember anything about those years? If so, please Comment

Give details of school attended and how you felt about school
this should include schoolwork, playground activities, extra murals
and sport

Please
give details of schools attended and how you felt about school.
This
should include schoolwork, playground activities, extra murals
and sport. Please give details as above including Subjects chosen for final
years ("A" levels, Matric etc.)

Did you have a nickname at school and if so, what
was it?

Were school years the best years of your life? Give reasons.

Were you given recognition at school for academics / cultural
activities?

Which sports did you participate in at school. Did you enjoy
them?

Do
you participate in any sport now?

Education - Tertiary

Please give details of Universities or colleges attended, courses taken and qualifiecations achieved

Please
state any adult-study courses or ongoing education programmes
that you may be or have been involved in

Detail interests you had or are currently involved in

Position held now

Are you happy in your chosen career?

Do you have future career goals?

How do you intend to reach your future career
goals?

Beliefs / Philosophy

Who do you admire most and why? This can be any
person, living or dead.

Do you believe in God?

Do you believe in an afterlife?

Does life hold meaning for you?

Medical History

Please detail any illnesses or injuries which you
may have had.

Are you taking any drugs at the moment -
Perscription or otherwise. Please detail.

Marriage / Relationships

Marriage / Relationship status

For how long have you been in this relationship?

Have you ever had an affair and have you ever
spoken to your partner about this affair?

Please describe your partner.

What does the relationship feel like?

What do you fight about and how often?

Are there secrets between you?

How does the relationship differ from your
expectations?

Please give details of previous marriages or
close / committed relationships. How long did they last, also
detail the reasons why they did not last

Do you fantasise about having relationships with
others? Are there recurring fantasies involving particular
people?

Feelings

Do you feel alone from time to time?

Do you experience depression?

Do you get angry and, if so, under what
circumstances?

What makes you laugh?

Do you feel different? How?

What makes you cry?

Are you safe and secure?

Do you have fears? Of what?

Are you affectionate?

Perceptions

Do people seek out your company?

Do others see you as being safe and secure?

Do you have the power to change things?

Do you get your own way most of the time?

How do people see you?

What strategies do you have for getting your own
way?

How would you describe yourself?

How would your partner / Wife / Husband describe
you?

How would your best friend describe you?

How would your worst enemy describe you?

Organisational Experiences

What made you feel fulfilled and happy in the jobs you have held
previously?

What made you feel frustrated in the jobs you have held
previously?

What experiences have you had which you can share with others in
your organisation?

Describe your ideal job - what woiuld you be doing if you worked
at your ideal job?